| NPI | 1912654831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL Sl5751) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-22-205995) |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2022-10-26 |